Luis Antonio Lopez, MD

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10193 Issued in AZ

Practice address

10240 W Indian School Rd Ste 155
Phoenix, AZ 85037-5909

Phone

(623) 385-7900

NPI assigned

May 24, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthy Life Corporation

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1548510365
  NPD (past)
• Healthy Life

  • Family Medicine Physician
  • Memphis, TN
  • NPI 1831365295
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1356089908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 ST HERMINIO ORTIZ",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "00698",
            "telephone_number": "787-508-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10240 W INDIAN SCHOOL RD STE 155",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375909",
            "telephone_number": "623-385-7900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4338 W Thomas Rd # 116",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850313878",
            "country_code": "US",
            "telephone_number": "623-385-7900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "280 St Herminio Ortiz",
            "address_purpose": "LOCATION",
            "city": "Yauco",
            "state": "PR",
            "postal_code": "00698",
            "country_code": "US",
            "telephone_number": "787-508-3830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14741 W Mountain View Blvd # 500",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853742704",
            "country_code": "US",
            "telephone_number": "623-385-7900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "LUIS",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "10193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Lopez, LPC
• Lawrence Vincent Lopez, PA
• Leonel Lopez
• Linda K Lopez, RN
• Linh Lopez, PHARM.D.
• Luis Raul Lopez, M.D.
• Magdalena Lopez
• Maria C Lopez I, RN.MSN
• Maria Luisa L Lopez
• Marissa Karrina Lopez, FNP-C

• Physician Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.